Chest X-ray Path correlation Normal structures Densities Genesis of abnormal densities Localization Pathological correlation Steps in evaluation of CXR.

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Presentation transcript:

Chest X-ray Path correlation Normal structures Densities Genesis of abnormal densities Localization Pathological correlation Steps in evaluation of CXR

Left RA RV LV LA

Densities

HemHem Hemorrhage

Localization Lobar distribution Air bronchogram Silouhette sign Extra pleural sign

Lobar density

Silouhette sign

RLLLLL Lingula RML LUL RUL Silouhette sign

Extrapleural sign

Peripheral Sharp inner Indistinct outer Concave angles

Air bronchogram

Pathological correlation Consolidation Cavitation Mass Atelectasis Pleural effusion Pneumothorax Pulmonary edema

Consolidation

Pneumonia

Air bronchogram Lobar No loss of volume Consolidation

Cavity Hole Wall Lumen Content

Mass

Homogenous Sharp margin No respect

Atelectasis

Loss of lung volume

Pleural effusion Homogenous Costophrenic angle Meniscus

Pneumothorax

Air in pleura Atelectatic lung Hemithorax Mediastinual shift

Pulmonary edema

Bilateral Diffuse Alveolar

Emphysema

Bleb

Bullous emphysema

Emphysema

Flat diaphragm Emphysema

Dark lungs AP diameter Low flat diaphragms Vertical heart Retrosternal air Infracardiac air Avascularity Blebs

Mediastinal nodes

Metastases

Honeycombing

Interstitial fibrosis

Diffuse interstitial

Lines Honeycombing Nodules

Steps in evaluation of CXR Identify abnormalities Localize Identify pathological process Probable etiology Tests to confirm

Case 1

Case 2

Case 3

Case 4

Case 5

Case 6

Case 7

Case 8